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Fig. 2 | Gynecological Surgery

Fig. 2

From: Laparoscopic management of an 11-week rudimentary uterine horn pregnancy using extracorporeal Roeder knot to secure the dilated vascular pedicle

Fig. 2

Intra-operative findings and procedures: a, b A left RHP was diagnosed at laparoscopy. The structures associated with the rudimentary horn (left ovary, fallopian tube and round ligament) were identified. c A fibromuscular band of tissue connecting the rudimentary horn with the unicornuate uterus was seen (the probe is resting on the tissue). d A left salpingectomy is done. e The round ligament (black arrow) is transected, and the anterior leaf of the broad ligament and bladder flap are dissected. A fenestration was made in the posterior leaf of the broad ligament. f The ovarian ligament is seen containing large dilated vessels of approximately 15–20 mm in diameter. The pedicle is tied with extracorporeal Roeder knot and transected. g, h The connection between the rudimentary horn and the unicornuate uterus is tied with an extracorporeal knot, and the horn is finally separated (the knot is secured with a knot pusher). r round ligament, f fallopian tube, o ovary, rh rudimentary horn, u unicornuate uterus

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